Individual provider Active NPI

Kyrsten Larson

  • Speech-Language Pathologist
  • Northport, AL
National Provider Identifier
1609523133
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5228 Issued in AL
Practice address
1955 22ND St
Northport, AL 35476-4250
Phone
(205) 319-6484
NPI assigned
Mar 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 114917 TX
Speech-Language Pathologist 235Z00000X 5228 AL Primary

Addresses

Primary practice location

1955 22ND St
Northport, AL 35476-4250

Mailing address

1955 22ND St
Northport, AL 35476-4250
Phone (205) 319-6484

Other practice location 1

6301 S Stadium Ln
Katy, TX 77494-1057
Phone (281) 396-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5228ALMDOccupational Therapist
114917TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Katy Independent School District PastSince Mar 1, 2022 Accepting new patients
Flower Pie Speech, Language, and Reading Therapy Speech-Language Pathologist PastSince Sep 11, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1609523133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 22ND ST",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354764250",
            "telephone_number": "205-319-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 22ND ST",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354764250",
            "telephone_number": "205-319-6484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6301 S Stadium Ln",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774941057",
            "country_code": "US",
            "telephone_number": "281-396-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "KYRSTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114917",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "5228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.